Fourth Annual Chicago Supportive Oncology Conference

Community Oncology

Volume 5, Number 5 (May 2008)

Letter from the Editor

218

 

The long path from Petri dish to patient

Lee S. Schwartzberg, MD, FACP, Editor-in-Chief

The West Clinic, Memphis, TN

At an increasing pace, researchers are finding more cancer cell mechanisms to target. In community oncology clinics, the task is to organize delivery of this ever-improving care, the focus of several articles in our current issue.

full text 42 kb

Community Dialogue

225

 

There will be blood: ESA restrictions, transfusions, and cancer patients

Community Oncology interviews Lawrence T. Goodnough, MD, Director, Transfusion Service, Professor of Pathology and Medicine, Stanford University, Stanford, CA

ESAs are now restricted, the need for transfusions is rising, and a recent report in the New England Journal of Medicine raised concerns about using "old" versus "new" blood. For insight, we spoke with an expert in blood banks and transfusions.

full text 73 kb

Community Translations

229

 

Totect (dexrazoxane) for treatment of anthracycline extravasation

Traditionally, when a vesicant agent being administered by IV leaked out into a vein, nurses could only treat this painful and damaging extravasation with warm or cold compresses. Now, the FDA has approved dexrazoxane hydrochloride for injection (Totect) to manage extravasation.

 

FROM THE ADMINISTRATOR'S PERSPECTIVE
The first FDA-approved treatment for anthracycline extravasation: bringing Totect onboard, and paying for it

Carla Brutico, RN, OCN

Manager, Cancer Services, Carson Tahoe Cancer Center, Carson City, NV

full text 89 kb

Controversies in Patient Care

236

 

Radiation therapy for cutaneous melanoma: 2008 update

Paul W. Read, MD, PhD

University of Virginia Medical School, Charlottesville, VA

The incidence of melanoma is increasing. Historically, melanoma has been characterized as a radiation-resistant tumor. The author discusses recommendations for radiation treatment.

abstract full text 116 kb

SPECIAL ADVERTISING SECTION

Community Resources

1

 

US Oncology’s Comprehensive Strategic Alliance: strength in numbers

2

 

How an Oregon cancer center grows and thrives within the CSA network

US Oncology   full text 411 kb

Economics/Practice Management

245

 

Practice–hospital partnerships: a marriage made for patients

Leah and Patrick Young

University of Virginia Medical School, Charlottesville, VA

When New Hampshire Oncology Hematology partnered with Dana-Farber Cancer Institute, the result was a strengthened private practice able to offer more to its patients while retaining its grassroots culture.

abstract full text 68 kb

Nursing Management

250

 

Safeguarding patients and avoiding medical errors in chemotherapy infusion suites

Linda K. Dohse, RN, BSN, CRNI

Palmetto Hematology Oncology, PA, Gibbs Cancer Center, Spartanburg, SC

Providing safety to patients in chemotherapy infusion suites can be accomplished with a systematic approach: spelling out tasks with specific policies and procedures, improving communication and patient and staff education, and ensuring staff safety.

abstract full text 82 kb

Challenging Cases/Rare Cancers

258

 

Endometrial adenocarcinoma with idiopathic thrombocytopenic purpura treated without chemotherapy or irradiation

Tomoko Nojima, MD, Yasuyuki Hasuo, MD, Kenichirou Sakoguchi, MD, Masanobu Ogawa, MD, Ryuji Shiina, MD, Akimasa Fukui, MD, and Norio Kubo, MD

Department of Obstetrics and Gynecology, Clinical Research Institute, Kyusyu Medical Center, Japan

Idiopathic thrombocytopenic purpura (ITP) is a rare complication in patients with nonhematologic malignancies. The authors describe the occurrence of ITP in a woman with uterine endometrial cancer that resolved upon resection of the tumor.

abstract full text 222 kb

260

 

Occurrence of immune thrombocytopenic purpura in patients with nonhematologic cancers: a systematic review of clinical evidence from case reports

Arafat Tfayli, MD, Sara K. Vesely, PhD, and James N. George, MD

Colleges of Medicine and Public Health, The University of Oklahoma Health Sciences Center, Oklahoma City, OK

Multiple case reports have described the occurrence of idiopathic thrombocytopenia purpura (ITP) in patients with nonhematologic cancers. To evaluate the evidence for an association of these disorders unrelated to apparent etiologies for thrombocytopenia, such as treatment-related bone marrow suppression or bone marrow metastases, the authors performed a systematic review to identify and analyze all case reports.

abstract full text 222 kb

Original Contribution

271

 

Implementation of sentinel node biopsy for breast cancer in a community hospital

Eli Avisar, MD, FACS,1 and Lena Shekhtman, MD2

Division of Surgical Oncology, The Dewitt Daughtry Family Department of Surgery, Miller School of Medicine, University of Miami, Miami, FL, and Department of Pathology, Ha’emek Medical Center, Afula, Israel

In a well-controlled and carefully designed implementation process, an experienced surgeon can build a new collaborative team for sentinel node biopsy and can rapidly achieve very good results.

 

COMMENTARY
Sentinel node biopsy: a community standard

Brian Spivack, MD

Chief of Breast Surgery, San Antonio Community Hospital Breast Center, Upland, CA

abstract full text 154 kb

Adverse Events Alert

255

 

Identifying and reporting adverse drug events in oncology

Aleta J. Hong, Matthew J. Fisher, Christina H. Georgopoulos, BS, and Charles L. Bennett, MD, PhD, MPP

Division of Hematology/Oncology, The Robert H. Lurie Comprehensive Cancer Center of Northwestern University Feinberg School of Medicine, and VA Midwest Center for the Management of Complex Chronic Care, Jesse Brown VA Medical Center, Chicago, IL

Practical information on establishing, documenting, and filing a report on an adverse drug event.

full text 69 kb

Technology

276

 

The pocket-sized billing department

John Fried

If you’re not as diligent as you could be when it comes to recording office charges, a PDA can make it easy to document visits as you go.

full text 50 kb

Washington Update

277

 

Staying the course

David H. Henry, MD, interviews Senator Arlen Specter (R-PA) on the recurrence of his Hodgkin's lymphoma, healthcare in the United States, and what the senator believes the government needs to do to protect the health of Americans.

full text 65 kb

© 2008 by Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopy, recording, or any information storage and retrieval system, without permission in writing from the publisher.

The opinions expressed herein are those of the authors or advertisers. The authors, editors, and publishers make every effort to ensure that no inaccurate or misleading data, opinion, or statement is published in this journal and that drug names, dosages, and recommendations are accurate. However, readers should confirm all dosage schedules against the manufacturer’s package information data. The Publisher, Editorial Board, and their employees accept no liability whatsoever for the consequences of any inaccurate or misleading data, opinion, or statement.